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physical exam
cbc
bmp
ua
tsh
wrist xray
wrist splint
reassurance
occupational therapy
review in 2 weeks
interval history
emg
syurgery consult
patient education
regular exercise
no smoking
limit alcohol
safe sex
seat belt use
no illegal drug use
please add
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physical exam
cbc
bmp
ua
tsh
wrist xray
cxr
b hch
serum calcium
serum phosphate
blood glucose
wrist splint
reassurance
occupational therapy
review in 2 weeks
interval history
no improvement
nerve conduction studies
syurgery consult
intra articular prednisolone
patient education
regular exercise
no smoking
limit alcohol
safe sex
seat belt use
no illegal drug use
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BMP has blood sugar level so no need to do separately
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CTS is a clinical diagnosis. wrist x ray is not necessary.
You can go ahead treat by splint first and then methypredinisolone.
Nerve conduction studies are not being done on patients with no response to treatment and for those with uncertainty diagnosis.
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Xr is recommended to exclude other possible reasons for the patient symptoms.
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Conditions asso: with CT$
(1) Obesity
(2) Pregnancy
(3) Menopause
(4) Direct trauma and fracture
(5) Diabetes
(6) RA
(7) Hypothyroid
(8) Acromegaly
(9) End stage renal disease and dialysis
(10)Fibromyalgia
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ketty's is more likely to have higher points, work up with underlying course (like zafirlukast said) is important. read the story careful is worthy for this case
